Since 2015, we have been strengthening health management so that our employees can stay in good health, maintain a positive disposition, and achieve their potential. The NYK president, as the chief health officer, together with other members of management, the Human Resources Group, the NYK Health Care Center (our in-house company clinic), and the NYK Health Insurance Society advocate health management.

At its head office, NYK has a clinic that is staffed with a company doctor, internists, psychiatrists, and a nurse so that employees may consult and see a doctor whenever they like. Vaccinations are also provided to prevent infectious diseases.

To promote and maintain good health, NYK encourages all employees to get annual checkups. Our goal is to provide employees with knowledge of their health condition so that they can better avoid disease or reduce its severity. In addition, our company doctor and internist provide medical treatment and guidance to patients requiring additional care.

• *In fiscal 2020 and fiscal 2021, due to the effects of the COVID-19 pandemic, overseas seconded employees and seafarers were unable to receive medical examinations, and the medical examination rate decreased.

At hospitals and specialized clinics, our employees can receive special examinations that include full medical checkups, cancer examinations, and gynecological examinations.

Our company doctor checks each employee's health before and after overseas assignments.
Before the employee begins the assignment, the doctor reviews dietary habits at the assignment location, depending on the medical exam results.

The NYK Health Insurance Society offers dental examinations for employees at the head office.

The company clinic provides support to employees willing to try to quit smoking.

Our company doctor, together with parties concerned from NYK and representatives of the NYK Labor Union, convenes a monthly health committee, at which information is shared about the health and labor situation of employees. The labor union and the Human Resources Group work together to reduce employee overtime by encouraging employees to take days off, etc., because both organizations consider health and safety to be the highest priority.

Our company doctor holds seminars to disseminate information on dietary habits that are easy to incorporate into daily life. Our company cafeteria offers a dietitian-created lunch menu that considers health by providing, for example, low-sodium and low-carbohydrate options. At the cafeteria entrance, pamphlets are placed to enhance employees' food awareness. A Table for Two option is also offered two to four times a month to support school meals for children in undeveloped countries.

We have hosted several events to promote health and heighten employee awareness of their health.

• NYK's Charity Run+Walk

  Charity Run+Walk was launched in 2017 to promote the health of the Group's employees through running and walking, which are familiar activities, as well as to spread awareness of social issues. Employees from NYK Group companies worldwide participate by collecting donations for various physical activities: running, walking, golfing, jumping rope, aerobics, dancing, cycling, swimming, yoga/Pilates, weight training, and rowing. The accumulated donations and a matching gift from NYK are given to an international NPO.

• Health seminars

  Our company doctor and physicians hold seminars for new employees on managing physical and mental health as working professionals.
  Believing that it is essential for women to have a correct understanding of women's health for them to continue to play an active role, our company doctor conducted seminars as a new measure in 2023 on health issues tailored to the different life stages of women. Group company employees and business partners were also invited to participate.

Employees generally do not have a positive disposition if they are not of a sound mind, so NYK makes active efforts to promote mental health care.

• We have a psychiatrist available at our company clinic.
• Consultation with specialists outside the company are available via the internet or phone 24 hours a day for employees and their family members.
• At stratified training programs, we have our company psychiatrist or outside specialists conduct lectures about mental health.

In Japan, offices with 50 or more employees are required by occupational safety and health law to conduct stress checks. NYK additionally performs them voluntarily at offices with less than 50 employees in Japan and overseas, and on all vessels.

• Presenteeism
  

  At the same time as stress checks, we measure presenteeism, i.e., lost productivity that occurs when employees are not fully functioning in the workplace because of an illness, injury, or other condition.

  Year	2020	2021	2022	2023
  Percentage	18.2	18.6	17.2	18.0

1. *Measurement method: The percentage of respondents who responded to the following question of The Single-Item Presenteeism Question*¹ with a rate below 100%: "On a scale from 1% to 100%, where 100% is the best job performance you could have at your job if unimpeded by sickness or injury, how would you rate your overall job performance on the days you worked during the past four weeks (28 days) ?"
2. *1 A Single-Item Presenteeism Question, or SPQ, is a scale that can easily measure presenteeism* with a single question. It was developed by "The University of Tokyo Working Group," a Fiscal 2015 Project to Promote the Creation of Industries to Extend Healthy Life Expectancy.

The head office also has a massage room, roof-terrace relaxation space with benches and gardens, and a cafe to enhance workplace communication.

The Group has introduced a safety check system to determine employee status at the time of a disaster, such as an earthquake. This enables the company to grasp whether employees can keep working, and if not, the earliest possible action to take.
If an earthquake of magnitude 6 or greater occurs at registered cities and offices in the country, a safety confirmation email will be automatically dispatched from the system to the employees. After receiving the email, employees will report their status and that of their family members, and management of each group can check the safety status of each members through the system. The Group plans to continue periodic safety confirmation drills to remain prepared for an emergency.

Since seafarers work on board a vessel for three to 10 months at a time, they are subject to a unique work environment that involves isolation (long-term isolation from land), dangers (such as maritime accidents), and living and working in the same place (cohabiting on a vessel).

Based on the idea that promoting the health of seafarers not only leads to improved productivity and motivation but also safe operation, below activities for seafarers have continued. NYK will proactively support seafarer health promotion so that they can actively work on board in good spirit.

Main Goals and Initiatives

1. 1To improve communication speed between ship and land, we are introducing Starlink.*
   By facilitating communication between seafarers and their families and friends ashore, we aim to expand the welfare of seafarers and maintain and improve their work ethic.
2. 2Intensification of practical training on dangers. We operate a training facility next to the NYK-TDG Maritime Academy (NTMA) in the Philippines, and approximately 7,552 participants have taken courses at the facility since it opened in 2015. (Data as of the end of August 2023.) Additionally, in 2018 we constructed an equivalent facility in India where we actively conduct training for Europeans, including Croatians, and in the future we will aim to expand training opportunities by incorporating new technologies such as VR.
3. 3Improvement of crew working environment. Since 2021, NYK has been making efforts such as increasing onboard internet speed to improve the communication environment between ship and shore.

• *Starlink is a satellite communication service operated by SpaceX. Because Starlink uses low-orbit satellites, it enables higher-speed, lower-cost, and larger-capacity communications than conventional communications.

Managing seafarer health is inevitable for safe vessel operation, so the Group conducts periodic health checks of the seafarer on board in addition to regular health checkups prior to boarding the vessel. Also, by confirming the safety of the onboard environment via activities such as an onboard safety committee, NAV9000, and Near Miss 3000, the Group encourages the improvement of seafarer safety awareness, and this leads to fewer injuries and fatalities. By gathering and analyzing data of injuries and illnesses, and that of Near Miss 3000, we can grasp the rate of occurrence and verify the effectiveness of safety activities to connect them to further improvement.

Reported Seafarer injuries and illnesses

We monitor occupational accidents for employees working at the headquarters*¹ to reduce the lost time injury frequency rate (LTIFR)*².

LTIFR(%)

1. *¹Includes fixed-term employees and employees seconded from group companies
2. *²LTIFR
   Number of lost-day occupational injury cases / Total working hours × 1,000,000